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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio prospectivo para conocer la evoluci&#243;n de los defectos de perfusi&#243;n a los 6 meses tras un tromboembolismo pulmonar &#40;TEP&#41;&#44; identificar aquellos factores asociados con su evoluci&#243;n y evaluar la incidencia de recurrencias subcl&#237;nicas&#46; Se incluyeron a 70 pacientes diagnosticados de TEP&#46; Se practic&#243; una gammagraf&#237;a pulmonar de perfusi&#243;n a los 6 meses del episodio agudo de TEP&#46; Los resultados se compararon con los defectos iniciales&#46; Se buscaron relaciones significativas entre los distintos perfiles evolutivos y diferentes factores&#44; tales como la edad&#44; el sexo&#44; el tratamiento anticoagulante y los antecedentes personales&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los defectos gammagr&#225;ficos persistieron id&#233;nticos al episodio inicial en 15 de los 70 pacientes &#40;21&#37;&#41;&#44; disminuyeron en 37 &#40;53&#37;&#41; y desaparecieron en su totalidad en 16 &#40;23&#37;&#41;&#46; Se hallaron nuevos defectos en 2 casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Existi&#243; una relaci&#243;n significativa entre la evoluci&#243;n gammagr&#225;fica favorable y el cumplimiento del tratamiento anticoagulante &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0024&#41;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Otras relaciones con significaci&#243;n estad&#237;stica fueron el perfil evolutivo favorable y el antecedente de intervenci&#243;n quir&#250;rgica en el episodio agudo &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y el perfil evolutivo desfavorable con el antecedente de enfermedad tromboemb&#243;lica venosa &#40;ETV&#41; previa &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41;&#46;</p></span>"
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Evolución de la gammagrafía pulmonar en el seguimiento del embolismo pulmonar. Influencia del tratamiento anticoagulante y de otros factores asociados
Pulmonary scintiscan evolution of pulmonary embolism. Influence of anticoagulation therapy and other associated factors
R. Otero-Candelera*,1, F. Rodríguez-Panadero*, A. Ramos**, M. Arenas*, T. Elias*, E. Tabernero*
* Servicios de Neumología, Hospital Universitario Virgen del Rocío. Sevilla
** Servicios de Medicina Nuclear. Hospital Universitario Virgen del Rocío. Sevilla
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio prospectivo para conocer la evoluci&#243;n de los defectos de perfusi&#243;n a los 6 meses tras un tromboembolismo pulmonar &#40;TEP&#41;&#44; identificar aquellos factores asociados con su evoluci&#243;n y evaluar la incidencia de recurrencias subcl&#237;nicas&#46; Se incluyeron a 70 pacientes diagnosticados de TEP&#46; Se practic&#243; una gammagraf&#237;a pulmonar de perfusi&#243;n a los 6 meses del episodio agudo de TEP&#46; Los resultados se compararon con los defectos iniciales&#46; Se buscaron relaciones significativas entre los distintos perfiles evolutivos y diferentes factores&#44; tales como la edad&#44; el sexo&#44; el tratamiento anticoagulante y los antecedentes personales&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los defectos gammagr&#225;ficos persistieron id&#233;nticos al episodio inicial en 15 de los 70 pacientes &#40;21&#37;&#41;&#44; disminuyeron en 37 &#40;53&#37;&#41; y desaparecieron en su totalidad en 16 &#40;23&#37;&#41;&#46; Se hallaron nuevos defectos en 2 casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Existi&#243; una relaci&#243;n significativa entre la evoluci&#243;n gammagr&#225;fica favorable y el cumplimiento del tratamiento anticoagulante &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0024&#41;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Otras relaciones con significaci&#243;n estad&#237;stica fueron el perfil evolutivo favorable y el antecedente de intervenci&#243;n quir&#250;rgica en el episodio agudo &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41; y el perfil evolutivo desfavorable con el antecedente de enfermedad tromboemb&#243;lica venosa &#40;ETV&#41; previa &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;004&#41;&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We performed a prospective study to determine the evolution of perfusion defects 6 months after pulmonary thromboembolism &#40;PTE&#41;&#44; to identify associated factors and to evaluate the incidence of subclinical recurrence&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Seventy patients diagnosed of PTE were enrolled&#46; Perfusion pulmonary scintiscans were performed 6 months after the acute PTE episode and the results were compared with initial defects&#46; We looked for significant relations between several course profiles and factors such as age&#44; sex&#44; anticoagulation therapy and patient history&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Defects revealed by the initial scintiscan remained the same 6 months later in 15 &#40;21&#37;&#41;&#44; decreased in 35 &#40;53&#37;&#41; and disappeared in 16 &#40;23&#37;&#41; of the 70 patients&#46; New defects were identified in 2 patients&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A significant relation was found between a favorable outcome as shown by follow-up scintiscans and compliance with anticoagulation therapy &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;0024&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Other statistically significant relations were observed between favorable outcome and a history of surgical intervention during the acute episode &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;004&#41; and between unfavorable outcome and a history of venous thromboembolic disease &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;004&#41;&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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